ZHU-17757-53522
5 vaccinations
8 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 627 / IL
- Registered
- 2022-10-07
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-03-09
Dose 2 — Moderna
-
2021-09-15
Dose 3 — Moderna
-
2022-04-04
Dose 4 — Moderna
-
2022-10-03
Dose 5 — Moderna
-
2022-10-07
Registered in v-safe
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness postural — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe dizziness when sit up in bed and lay fownMedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe dizziness when getting out of bed and when lie downMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness postural — Feeling: Good · Site: Pain · Joint painsFree text: Severe dizziness when sitting up in bed and lying down.MedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — day 7, dose 5MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint painsFree text: Severe dizziness when get up in bed or lie downMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Survey response — day 14, dose 5MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme dizziness when get up from Bed and laying back downMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — day 21, dose 5MedDRA: Office visit, Pre-existing disease, Weight bearing difficulty — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Injured arthritic rt knee. Unable to bear wt. Doc gave me cortisone injection.MedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Survey response — day 28, dose 5MedDRA: Dizziness postural — Feeling: FairFree text: Continue to have severe dizziness when zi get up from bed or when I lay downMedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-14
- 2023-01-02
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2023-04-03
Survey response — 6 months, dose 5MedDRA: Arthralgia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-03
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | No |
| 2 | 2021-03-09 | Moderna | No |
| 3 | 2021-09-15 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-03 | Unsuccessful |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Severe dizziness when sit up in bed and lay fown
Systemic reaction (other): Severe dizziness when getting out of bed and when lie down
Systemic reaction (other): Severe dizziness when sitting up in bed and lying down.
Release 12 — day 7, dose 5
Systemic reaction (other): Severe dizziness when get up in bed or lie down
Release 12 — day 14, dose 5
Symptoms: Extreme dizziness when get up from Bed and laying back down
Release 12 — day 21, dose 5
Symptoms: Injured arthritic rt knee. Unable to bear wt. Doc gave me cortisone injection.
Release 12 — day 28, dose 5
Symptoms: Continue to have severe dizziness when zi get up from bed or when I lay down
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Weight bearing difficulty | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dizziness postural | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release